Individual
SEANNA MARIE MACOMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
970 ILLINOIS AVE, BANGOR, ME 04401-2722
(207) 945-4240
Mailing address
739 PLEASANT ST, BLUE HILL, ME 04614-5606
(207) 266-6688
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC5276
ME
1041C0700X
Clinical Social Worker
Primary
LC11461
ME
Other
Enumeration date
03/20/2007
Last updated
10/29/2014
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